1972625937 NPI number — MRS. KATHALEEN F. POWERS RN, FNP.

Table of content: MRS. KATHALEEN F. POWERS RN, FNP. (NPI 1972625937)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1972625937 NPI number — MRS. KATHALEEN F. POWERS RN, FNP.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
POWERS
Provider First Name:
KATHALEEN
Provider Middle Name:
F.
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
RN, FNP.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
JANTZ
Provider Other First Name:
KATHALEEN
Provider Other Middle Name:
F.
Provider Other Name Prefix Text:
MRS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
RN, FNP
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1972625937
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/05/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2503 WESTFIELD DRIVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LEBANON
Provider Business Mailing Address State Name:
TN
Provider Business Mailing Address Postal Code:
37090
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
615-476-4850
Provider Business Mailing Address Fax Number:
615-343-0047

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1900 BELLMONT BLVD
Provider Second Line Business Practice Location Address:
BELLMONT UNIVERSITY STUDENT HEALTH CENTER
Provider Business Practice Location Address City Name:
NASHVILLE
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37212
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
615-460-5534
Provider Business Practice Location Address Fax Number:
615-343-0047
Provider Enumeration Date:
04/03/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LF0000X , with the licence number:  APN0000006247 , registered in the state of TN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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